GERILYN ALENE AHRENS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****91

License Status

NOT RENEWED

Business

First Name

GERILYN

Middle

ALENE

Last Name

AHRENS

Business Name

GERILYN ALENE AHRENS

Original Issue Date

09/05/2006

Effective Date

12/14/2007

Expiration Date

03/01/2010

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

02/10/2011